Document Detail


A case of eosinophilic myocarditis complicated by Kimura's disease (eosinophilic hyperplastic lymphogranuloma) and erythroderma.
MedLine Citation:
PMID:  10084379     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This report describes a patient with eosinophilic myocarditis complicated by Kimura's disease (eosinophilic hyperplastic lymphogranuloma) and erythroderma. A 50-year-old man presented with a complaint of precordial pain. However, the only abnormal finding on examinatioin was eosinophilia (1617 eosinophils/microl). Three years later, the patient developed chronic eczema, and was diagnosed with erythroderma posteczematosa. One year later, a tumor was detected in the right auricule, and a diagnosis of Kimura's disease was made, based on the biopsy findings. The patient developed progressive dyspnea 6 months later and was found to have cardiomegaly and a depressed left ventricular ejection fraction (17%). A diagnosis of eosinophilic myocarditis was made based on the results of a right ventricular endomyocardial biopsy. The eosinophilic myocarditis and erythrodrema were treated with steroids with improvement of both the eosinophilia and left ventricular function.
Authors:
C Nakagawa; Y Sakaguchi; T Nakajima; A Kawamoto; S Uemura; S Fujimoto; T Hashimoto; K Dohi; T Shirai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  63     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1999 Feb 
Date Detail:
Created Date:  1999-05-24     Completed Date:  1999-05-24     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  141-4     Citation Subset:  IM    
Affiliation:
First Department of Internal Medicine, Nara Medical University, Kashiwara, Japan.
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MeSH Terms
Descriptor/Qualifier:
Angiolymphoid Hyperplasia with Eosinophilia / blood,  complications*,  pathology
Anti-Inflammatory Agents / therapeutic use
Biopsy
Cardiomegaly / etiology
Dermatitis, Exfoliative / complications*
Diuretics / therapeutic use
Dyspnea / etiology
Eczema / complications
Eosinophilia / blood,  complications*,  drug therapy
Furosemide / therapeutic use
Humans
Male
Middle Aged
Myocarditis / blood,  complications*,  drug therapy
Myocardium / pathology
Prednisolone / therapeutic use
Ventricular Dysfunction, Left / etiology
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Diuretics; 50-24-8/Prednisolone; 54-31-9/Furosemide

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